Facial and Orbital Trauma: Accidents Happen

Trauma is defined as a physical injury caused by violent or disruptive action. Trauma to the eyelids and surrounding structures of the face, or facial and orbital trauma, often results in fractured bones and soft tissue injuries. Symptoms are specific to the type of injury; for example, fractures may involve pain, swelling, loss of function, or changes in the shape of facial structures. Not all facial and orbital trauma necessitates surgical reconstruction, but traumatic injuries can have long-term functional and aesthetic consequences if not properly treated.

Michael Neimkin, M.D., at the Ophthalmic Plastic and Cosmetic Surgery Center in Atlanta, GA., is a board-certified ophthalmic plastic and reconstructive surgeon who specializes in treating patients who have suffered facial and orbital trauma. His specialized education, qualifications, and training set him apart from other ophthalmic facial plastic surgeons. Dr. Neimkin receives a large number of referrals from other ophthalmic surgeons because of his expertise. Dr. Neimkin has performed over 6,000 complex reconstructive and revisional surgical procedures focusing on the eyelidseyebrows, forehead, eye orbits, tear ducts and midface. He also specializes in cosmetic procedures to improve the appearance of the eyes. His entire staff takes great pride in treating each patient as if they were a family member.

View before and after photos.

You Want an Eye Expert, Board-Certified Doctor

Facial and orbital trauma injuries have the potential to cause disfigurement and a resulting loss of function like blindness or difficulty moving the jaw. Depending on the type of facial injury, treatment may include bandaging and suturing of open wounds, administration of ice, antibiotics, painkillers, moving bones back into place, and/or surgery.

Orbital fractures or fractures of the bones that comprise the eye-ball socket are exceedingly common. Every year in the United States, about 2.5 million traumatic eye injuries occur. And, males are about four times more likely than females to sustain an orbital fracture. Because of initial swelling and the location of the orbital bones, it is not easy for patients to determine if they have fractured these bones.

Symptoms of a fracture are not always noticeable and are sometimes absent altogether:

  • Blurry, decreased or double vision
  • Decreased ability to look left, right, up or down
  • Black and blue eyes
  • Swelling of the forehead or cheek
  • Flattened cheeks
  • Intense cheek pain when opening the mouth
  • Bulging or sunken eyeballs
  • Facial numbness on the side of the injury
  • Bloated skin under the eye
  • Blood in the white part of the eye

For smaller fractures, ice packs, antibiotics, and decongestants are usually enough to allow the eye socket to heal on its own. For larger, more complicated fractures, especially those that impede eye movement, Dr. Neimkin may perform surgical procedures to repair the fracture:

  • Remove bone fragments from the eyeball
  • Restore the shape of the eyeball
  • Disentangle ocular muscles
  • Relieve double vision
  • Repair cosmetic blemishes on the eye socket

Each patient is unique; therefore, results will vary.

If you have suffered any traumatic facial event, don’t hesitate to get treatment. Complete our contact form today to schedule a consultation with Dr. Neimkin at the Ophthalmic Plastic and Cosmetic Surgery Center in Atlanta, GA. Dr. Neimkin and the staff take pride in only offering patients the highest level of care in a family-like environment. Our office serves patients in the metro Atlanta area including the surrounding communities of Sandy Springs, Buckhead, Dunwoody and Roswell.

We look forward to seeing you soon.

Orbital Injury
Fill out my online form.